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Occupational Risks Prevention and Psychosocial Risks in Home Care Aides: A Mixed Methods Study
Maria Feijoo-Cid1,2, María Isabel Fernández-Cano1,2, Sergio Salas-Nicás3
1Nursing Department, Faculty of Medicine, Autonomous University of Barcelona.
Home care aides (HCAs) face significant occupational and psychosocial risks due to inadequate prevention measures. Their precarious working conditions highlight an urgent need for improved safety and support in the growing home care sector.
Area of Science:
- Public Health
- Occupational Health
- Sociology of Work
Background:
- Aging populations increase demand for home care services.
- Home care aides (HCAs) are crucial but face significant occupational risks.
- Understanding HCAs' experiences with occupational risks prevention (ORP) and psychosocial risks (PSR) is vital.
Purpose of the Study:
- To explore HCAs' experiences with ORP and PSR.
- To identify proposals for improving working conditions and safety for HCAs.
Main Methods:
- Sequential explanatory mixed-methods study integrating quantitative and qualitative data.
- Quantitative: Online cross-sectional survey (N=324 HCAs) using respondent-driven sampling.
- Qualitative: Three online focus groups with HCAs, followed by content analysis.
Main Results:
- HCAs reported non-compliance with basic ORP principles, including lack of risk assessment and training.
- Precarious conditions include high workloads, lack of resources/autonomy, and poor work-life balance.
- Preventive measures are not applied, leading to harmful psychosocial working conditions.
Conclusions:
- HCAs in Spain experience precarious and harmful working conditions.
- Current ORP and PSR strategies are insufficient for home care settings.
- Urgent interventions are needed to improve HCAs' safety and well-being.
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